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en-usMon, 17 Dec 2018 10:58:26 -0800Mon, 17 Dec 2018 10:58:11 -0800http://blogs.law.harvard.edu/tech/rssOfficite Development ScriptingTreating a Sprained Anklehttp://www.instepspecialists.com/blog/post/treating-a-sprained-ankle.html
An ankle sprain occurs when the foot rolls or twists to the point where a ligament inside stretches beyond its normal capacity. Ankle sprains are extremely common, with an estimated 25,000 sprains happening in the United States every day. Athletes and people who work outdoors or on uneven surfaces are at a higher risk for spraining their ankle. Regular wear of high-heeled shoes is also a risk factor.

Sprained ankles are diagnosed by degree; that is, the severity of the sprain and the symptoms it produces. Grade 1 sprains are the mildest, with minimal swelling and tenderness due to a slight ligament tear. Usually, Grade 1 sprains still allow for weight to be put on the ankle. Grade 2 sprains have a more significant injury to the ligament and, while walking may still be possible, it is painful. Grade 3 sprains are diagnosed when the affected ligament has sustained a complete tear and the ankle cannot bear weight. Grade 3 sprains typically display obvious bruising and swelling around the ankle.

The grade of an ankle sprain will determine the treatment. The tried-and-true RICE method - rest, ice, compression, and elevation - is usually sufficient for Grade 1 sprains. Refraining from walking, keeping the ankle elevated for the first two days, stabilizing the ankle with a compression dressing, and applying ice to reduce swelling helps the sprain resolve within 2 to 4 weeks. Grade 2 sprains also respond well to RICE treatment, although healing typically takes longer and a firmer immobilization device, like a splint, is typically recommended. Grade 3 sprains often require similar treatment used for ankle fractures; a cast or brace may be needed and surgery may be considered for some patients.

To ensure proper healing, it is important to follow the recommendations of your podiatrist. Attempting to return to normal activity too soon could result in a repeat injury or permanent ankle instability.

Sesamoids are small bones that are only connected to tendons or surrounded in muscle. This only appears in a few places in the body, one of which is the foot. Two very tiny sesamoids are found in the underside of the foot near the big toe. One is on the outer side of the foot and the other bone is close to the middle of the foot. This structure provides a smooth surface for the tendons to slide over, which helps the tendons move muscles. They help with weight bearing and also help to elevate the bones of the big toe. So now that you know what sesamoids are, you might be wondering what sesamoiditis is and what its symptoms are.

Sesamoiditis

Just like any other bone, sesamoids can unfortunately fracture. The tendons surrounding the sesamoids may also become irritated or inflamed and this is what sesamoiditis is. Sesamoiditis is also a form of tendonitis and is a common condition among ballerinas, runners, and baseball catchers due to the pressure that is constantly placed on their feet.

Symptoms of Sesamoiditis

Symptoms of Sesamoiditis may include:

Pain under the big toe or ball of the foot

Swelling and/or bruising

Difficulty in bending and straightening the big toe

Treating Sesamoiditis

Treatments include:

Resting and stopping any activity that could be causing pain and inflammation

Anti-inflammatories, such as ibuprofen and aspirin only after consulting your physician

Icing the sole of the foot

Wearing soft-soled and low-heeled shoes

Cushioning inserts in the shoes

If symptoms persist after treatments, you may need to wear a removable brace for 4-6 weeks to help the bones heal. Call your podiatrist today to ask any questions about sesamoiditis and get on your way to pain-free feet once again!

]]>Fri, 07 Dec 2018 11:23:49 -0800How To Prevent Ingrown Toenailshttp://www.instepspecialists.com/blog/post/how-to-prevent-ingrown-toenails.htmlIngrown toenails may begin mildly but can quickly go from bad to worse. This frustrating and painful condition can affect anyone and cause significant issues. Unlike other foot-related conditions, which are often due to genetics or underlying conditions, ingrown toenails are almost always preventable and often come from lifestyle choices like the type of shoes you wear or the way you trim your toenails.

Do I have an ingrown toenail?

Ingrown toenails are easy to spot if you know what to look for. The nail begins to grow inward, curling in on one or both sides of the toenail and digging into the skin. An ingrown nail may begin with mild pain and discomfort and end up advancing quickly, producing symptoms like severe pain, difficulty walking, or even infection — which produces its own set of symptoms such as pus drainage or fever.

How can I prevent an ingrown toenail?

Preventing an ingrown toenail often boils down to the way you trim your nails and care for your feet. Always cut the nail straight across the top and never round off the corners to ensure that the nail grows straight. Wearing too-tight or narrow shoes which place pressure onto the toe can also contribute an ingrown toenail. Additionally, always keep your feet dry and clean and wear fresh socks daily.

Treating Ingrown Toenails

There are home remedies that may help stop the pain caused by ingrown toenails, such as soaking the foot in a warm foot bath and wearing better fitting footwear. Your podiatrist may be able to prescribe antibiotics to help avoid infection. In some cases, surgery by your podiatrist may be necessary. It's important to consult your doctor to see which method is best for you.

If you think you have an ingrown toenail or need help learning to better prevent them, a podiatrist can help you determine the best plan to healthier feet. Consulting with your foot doctor at regular foot examinations can help ensure that your feet stay healthy and pain-free for years to come.

Toenail fungus--it's one of the most common podiatric problems children, teens, and adults have. Causing thickened, yellow, brittle nails, onychomycosis (the medical name for toenail fungus) spreads easily and can be stubborn to treat. If you see one or more of your toenails changing shape, color, and texture, see your foot doctor right away. They have the expertise and treatments to give you ten clear toenails once again.

Your foot doctor sees scores of patients with toenail fungus. Visual inspection is the main diagnostic tool, and for mild cases of onychomycosis, the podiatrist may recommend creams or ointments applied topically. Oral medications are an option as well.

Additionally, modern podiatry offers innovative laser treatments which kill the micro-organism right where it lives. Painless and very effective, laser treatments are applied to all ten toenails to prevent re-infection.

Unfortunately, toenail fungal infections can become quite severe and spread to the nail bed. When infection is severe, the podiatrist may advise complete removal of the toenail to prevent further problems.

Prevention is best

Of course, if you can avoid toenail fungus, your feet and nails will look and feel their best, and you won't be embarrassed to wear open-toed shoes or sandals in the warm weather. However, some people are more prone to this common infection--diabetics, those with poor peripheral circulation and individuals who are immunosuppressed.

Wash your feet with soap and water daily, and dry them with a clean towel.

Clip your toenails straight across with a clean clippers.

Wear clean socks daily.

Change your gym shoes after a workout. In fact, alternate pairs if possible, letting your footwear dry out between wearings.

Wear flip-flops or shower sandals in the locker room and poolside, too.

Look after those feet and nails

They're the only ones you have. For ongoing care of your feet and ankles, see your foot doctor each year for a routine examination. He or she will get to know you and your podiatric health needs well so you stay active and feel great.

Got foot warts? Nearly everyone will have a wart at some point in their lives. Warts are typically small, hard skin growths caused by an infection with humanpallilloma virus. Foot warts are treatable. Foot warts are among the most common dermatologic conditions podiatrists treat. Read on to learn about the causes of warts.

An HPV Infection

Common warts are caused by by an HPV infection. Over 100 types of HPV exist. Certain types of HPV infection cause cervical cancer. Some types of HPV infection cause foot warts, while others cause warts that appear on the face, neck, or hands. Of the 100 types of HPV, about 60 cause common warts on areas such as the hands or feet.

Skin-To-Skin Contact

Wart viruses are contagious. You can get foot warts from skin-to-skin contact with people who have warts. However, not all HPV strains are highly contagious. You can get the wart virus by touching an object that another person's wart touched, such as clothing, towels, shoes, or exercise equipment.

Breaks in Your Skin

HPV infects the top layer of skin and usually enters the body in an area of damaged or cut skin. Cuts from shaving can provide an avenue for infection. Getting a scrape can also bring on common warts. Foot warts are very common in swimmers whose feet are scratched by rough pool surfaces.

A Weak Immune System

In most cases, your immune system defeats an HPV infection before it creates a wart. Someone with a weakened immune system is more vulnerable and therefore more likely to develop warts. Immune systems can be weakened by HIV or by immunosuppressant drugs used after organ transplants.

If you want to get rid of foot warts, see your podiatrist as soon as possible. Many types of effective wart treatments are available. They include salicylic acid, cantharidin, cryotherapy, laser treatment, and surgery. Your podiatrist can help you get rid of foot warts once and for all!

]]>Fri, 19 Oct 2018 09:02:38 -0700Treating Heel Spurshttp://www.instepspecialists.com/blog/post/treating-heel-spurs.htmlHave you been experiencing any heel pain or bothersome tenderness without any obvious cause? Although heel spurs themselves sometimes do not cause acute discomfort, they are frequently associated with the painful inflammation known as plantar fasciitis, a condition commonly described as feeling like a knife is wrenching through your foot. Read below for more information on the typical causes, symptoms, and treatments of heel spurs.

What is a Heel Spur?

A heel spur is often the result of overstraining foot muscles and ligaments, overstretching the plantar fascia (the thick band of tissue that connects the heel bone to the toes), and repeatedly tearing the heel bone membrane. From these actions arises a calcium deposit on the underside of the heel bone. Risk factor for developing the condition include:

Possessing any walking gait abnormalities

Regularly running or jogging on hard surfaces

Wearing poorly fitted or overly worn shoes

Wearing shoes that lack arch support

Being excessively overweight or obese

What are The Symptoms?

Heel spurs do not carry many symptoms by themselves. However, they are often related to other afflictions, most typically plantar fasciitis. The most common sign of this combo of conditions is a feeling of chronic pain along the bottom or back of the heel, especially during periods of walking, running, or jogging. If you are experiencing this recurring inflammation, it is a good idea to visit your local podiatrist's office and inquire about undergoing an x-ray or ultrasound examination of the foot.

What are the Treatment Options?

The solutions to heel spurs are generally centered around decreasing inflammation and avoiding re-injury. They include:

Applying ice on the inflammation

Performing stretch exercises

Wearing orthotic devices or shoe inserts to relieve pressure off of the spur

Taking anti-inflammatory medications such as ibuprofen to relieve pain

In extreme cases, surgery can be performed on chronically inflamed spurs

If you are dealing with symptoms of heel spurs or pain in your feet, turn to a podiatrist so that we can get you back on your feet. Don't ignore your pain.

]]>Wed, 03 Oct 2018 12:52:07 -0700Types of Custom Orthoticshttp://www.instepspecialists.com/blog/post/types-of-custom-orthotics.htmlCustom orthotics are removable shoe inserts that provide greater arch support and stability to the feet and ankles. There are different types of orthotics available depending on the issue and level of support that is needed. Basic orthotics are sold over the counter, but a custom pair designed specifically for your foot will provide optimal support and comfort.

When are Custom Orthotics Necessary?

Podiatrists typically recommend custom orthotics for people with flat feet, or very high arches. One of the most common signs that you may benefit from a pair of orthotics is heel pain (although you may also experience pain and swelling in other parts of the foot). You may also experience pain and swelling after normal and relatively low impact activities like standing or walking.

A good way to figure out if you are having pronation issues is to examine the soles of your shoes and sneakers. If the soles and insoles tend to become visibly more worn on one side, it may be a sign that your alignment is off and you are over or under pronating. A podiatrist may ask you to walk in your bare feet to observe your stride and gait (known as a gait analysis). If you experience persistent pain, swelling, or stiffness, especially after exercise or after long periods of rest, schedule an appointment with a podiatrist.

Types of Custom Orthotics

There are a few different types of custom orthotics designs available depending on your needs.

Functional (also known as rigid) orthotics are made of harder materials and are usually prescribed for pronation problems or joint issues like arthritis.

Accommodative orthotics are designed to provide more cushioning and support and are typically prescribed for problems like plantar fasciitis and bunions.

In addition to improving your gait and foot and ankle alignment, custom orthotics can help to prevent related strains and injuries and relieve back, joint, and knee pain if it is caused by issues with your arches and pronation.

]]>Fri, 14 Sep 2018 08:03:11 -0700Caring For Arthritic Feethttp://www.instepspecialists.com/blog/post/caring-for-arthritic-feet.htmlArthritis is a joint condition that affects roughly 54 million American adults according to the Arthritis Foundation. It can show up in joints all around the body, including the feet and toes. When the joints of the feet are affected by inflammation, it affects a patient’s ability to move their toes, bend their feet up or down, and turn on a dime when participating in athletic activities. Learn the steps that you can take to care for arthritic feet and improve your overall foot health.

Arthritis in the Feet
Arthritic joint pain, which is usually caused by an inflammatory reaction, is most commonly felt in the big toe, ankle, and the middle part of the foot. There are many different types of arthritis conditions that could affect the feet, including psoriatic, reactive, and rheumatoid arthritis. Osteoarthritis is the most common form—it is caused by the bones rubbing together, making the joints feel stiff and painful. Patients who are overweight are more likely to struggle with arthritic feet, as are seniors. Some people have had arthritis since childhood (juvenile arthritis or JA), making them more likely to develop foot deformities like bunions and struggle with swollen joints.

Arthritis Treatments
Though arthritis isn’t a curable condition, the symptoms can be eased with treatment so that you can continue to walk, jog, exercise, and work without debilitating pain. These are some of the ways your podiatrist may treat arthritis in the feet:

An X-ray or other imaging test to examine the condition of the joints.

Physical therapy exercises to make the joints more flexible.

Orthotic device or shoe for better foot support.

Joint injections (corticosteroids).

NSAID drugs (anti-inflammatories).

Surgery to remove inflamed tissue around the joints (Arthroscopic debridement) or fuse the bones (arthrodesis).

Caring for Your Feet
Seeing a foot doctor is an important part of caring for arthritic feet. But there are also some actions you can take at home to keep your feet and joints in good condition:

Get rid of shoes that put too much pressure on your joints, like high heels or sneakers that don’t support the ankles.

Soak your feet in warm water with Epsom salt and massage your feet when relaxing.

Commit to doing the toe and foot exercises suggested by your podiatrist.

Treating Arthritic Feet
Arthritic feet shouldn't prevent you from carrying on with normal life and physical activities. Get help from a podiatrist as soon as you start to experience symptoms and take extra steps to care for your feet.

Even though poor circulation isn’t a condition, if you are experiencing poor circulation in your feet this is often a symptom of a much larger issue. This is why it’s important to understand the warning signs of poor circulation and when to see a podiatrist, as many of these conditions can be serious or cause further complications to your health.

Causes of Poor Circulation

There are many reasons why someone may have poor circulation. The most common conditions include:

1. Peripheral artery disease (PAD)

This causes poor circulation in the legs due to a narrowing in the arteries and blood vessels. Over time this condition can cause damage to nerves or tissue. While this condition can occur in younger people, particularly smokers, it’s more common for people over 50 years old to develop PAD.

2. Blood Clots

A blood clot causes a block or restriction in blood flow and can develop anywhere in the body. The most common places for a blood clot include the arms or the legs, which can lead to symptoms of poor circulation. In some cases, a blood clot can cause serious complications such as a stroke.

3. Diabetes

While this condition does affect blood sugar levels, it is also known to affect circulation within the body. Those with circulation issues may experience cramping in the legs that may get worse when you are active. Those with diabetic neuropathy may experience nerve damage in the legs and feet, as well as numbness or tingling.

4. Raynaud’s Disease

A less common condition, Raynaud’s disease causes chronic cold fingers and feet due to the narrowing of the arteries in the hands and toes. Since these arteries are narrow it’s more difficult for blood to flow to these areas, leading to poor circulation. Of course, you may experience these symptoms in other parts of the body besides your toes or fingers, such as your nose, ears, or lips.

Warning Signs of Poor Circulation

You may be experiencing poor circulation in your feet if you are experiencing these symptoms:

Numbness

Pain that may radiate into the limbs

Tingling (a “pins and needles” sensation)

Muscle cramping

If you are experiencing symptoms of poor circulation that don’t go away it’s best to play it safe rather than sorry and turn to a podiatric specialist who can provide a proper diagnosis and determine the best approach for improving circulation. Don’t ignore this issue.

]]>Tue, 14 Aug 2018 09:13:12 -0700What to Do When You Keep Getting Blistershttp://www.instepspecialists.com/blog/post/what-to-do-when-you-keep-getting-blisters.htmlA foot blister is a small pocket of fluid that forms on the foot. Blisters can be painful while they heal. Foot blisters are caused by several things, including friction, burns, contact with irritants, and autoimmune diseases. Treatment can alleviate your pain, prevent infection, and help heal your blister. Here's what to do when you keep getting blisters on your feet.

1. See a podiatrist- When foot blisters interfere with your normal activities, you should see a podiatrist. Podiatrists specialize in the diagnosis and treatment of foot and ankle problems, including blisters. Depending on the cause of the foot blister, your podiatrist will form a treatment plan for you.

2. Cover your blisters- If a blister does occur, do not pop it. A blister should be covered to reduce irritation and cut back on the risk of infection. Wash your blisters with soap and water and cover them with dressings, like bandages or gauze pads. Your dressings should be changed every day.

3. Use antibiotic ointment- Antibiotic ointment helps prevent infections in blisters. You can purchase antibiotic ointment at a local pharmacy. Apply antibiotic ointment to the foot blisters as directed, especially before you put on your socks or shoes.

4. Keep your feet dry- Keep your feet dry at all times. After you shower, dry your feet thoroughly. Wear socks every day to keep moisture away from the skin of your feet. For sweaty feet, use products that help control moisture.

5. Use custom orthotics- Orthotic devices are molded pieces of rubber, leather, or other material that are inserted into shoes. You can get custom-made orthotic devices from your podiatrist. Orthotic devices can be helpful in preventing and treating foot blisters. Orthotic devices can reduce friction on foot blisters and alleviate your pain.

6. Wear the right shoes- Rubbing and pressure from shoes that are too tight often cause blisters on the feet. Avoid wearing shoes that cause foot blisters. Wear good-fitting footwear that fit comfortably and leave your feet with some wiggle room, especially on long walks or runs. Wearing the right footwear can prevent future blisters.

7. Use foot powders- Friction can make foot blisters worse and increase your pain. In order to reduce friction on blisters, buy a powder designed for your feet at a pharmacy. Pour it into your socks before putting on your shoes to reduce pain. If a powder causes your foot blisters to become irritated, stop using it.

Don't let foot blisters knock you off your feet. Find a podiatrist in your area and schedule an appointment. A podiatrist can help you get rid of those foot blisters once and for all. The journey to healthy feet starts with you!

]]>Tue, 31 Jul 2018 09:02:31 -0700Basic Foot Care Guidelineshttp://www.instepspecialists.com/blog/post/basic-foot-care-guidelines.html
Foot care is something that is important to your overall well-being and is something that is often overlooked. There are some basic guidelines you can follow in order to keep your feet healthy and feeling good.

1. Don’t ignore unusual pain. If you are feeling a constant pain in your feet, it’s important to call your podiatrist immediately. They can help identify any pain and develop a treatment plan to make sure that your feet are healthy.

2. Inspect your feet regularly. It’s easy to ignore irregularities around your feet, which is why it’s important to keep an eye on them. It’s important to be sure that there aren’t any drastic changes in color or temperature, and to make sure that your toenails aren’t too thick or discolored. Also be sure to pay attention to cracks or cuts in the skin, and to make sure that there aren’t any growths on your feet.

3. Keep proper foot hygiene. It’s important to wash your feet regularly, even between the toes, and make sure that the foot is totally dry. It’s also important to regularly trim toenails. Be careful to only trim nails straight across and not on the sides or corners to avoid ingrown toenails. If you are a person with diabetes, poor circulation, or heart problems, be sure to go to your podiatrist when trimming toenails in order to avoid infection.

4. Get proper fitting shoes. When purchasing shoes, try to go later in the day when your feet are at their largest and make sure to replace worn out shoes. Make sure that the shoes you pick are the correct shoe for whatever activities you are engaging in. Also, it’s important to not wear the same pair of shoes or socks multiple days in a row.

5. Avoid walking barefoot. When walking around barefoot, your feet are more prone to injury.

6. Don’t forget your feet! When wearing sandals, it’s very important to apply sunscreen to your feet as well as the rest of your body!

Following these guidelines will help keep your feet happy and healthy, and in turn help your overall well-being!

]]>Tue, 17 Jul 2018 13:29:32 -0700What You Can Do About Hammertoeshttp://www.instepspecialists.com/blog/post/what-you-can-do-about-hammertoes.htmlWhen most people think about foot deformities they most often think about bunions; however, hammertoes are just as common. This unassuming deformity comes about gradually, so you may not even notice it until it’s too late. “What is a hammertoe?” You might be wondering. A hammertoe affects the middle joint of a toe (often the smaller toes), causing the toe to bend downward. In severe cases, a hammertoe will look almost claw-like.

There are two kinds of hammertoes: flexible and rigid. As you might imagine, a flexible hammertoe is one in which you can still straighten the toe out. If you aren’t able to straighten the affected toe then this is a rigid hammertoe. A flexible hammertoe isn’t as serious as a rigid one; however, it’s important that you take care of your hammertoe to make sure that it doesn’t get worse.

While there is no way to cure a hammertoe there are simple measures you can take to prevent it from progressing. First and foremost, you need to take a look at the shoes you are wearing and make sure that they aren’t too tight. When you slip your feet into your shoes, does it cause your toes to bunch up against one another? If so then this could make your hammertoe worse.

Instead, opt for shoes with an ample toe box, which will allow your toes to wiggle and move around freely. If you have a structural imbalance within the foot this can leave you prone to foot problems such as hammertoes and bunions. To correct this imbalance, talk to your foot doctor about getting custom orthotics (shoe inserts), which can be placed into your shoes to help provide cushioning, support, and shock absorption for your feet.

If pain or stiffness does rear its ugly head you can choose to take an over-the-counter pain reliever like ibuprofen, which can tackle both pain and inflammation in one fell swoop, or you can place a towel-wrapped ice pack (never put ice directly on the skin, as it can cause severe burns) over the area for several minutes.

Just as you can buy pads to cover a bunion or callus, you can also buy a non-medicated protective pad to cover over a hammertoe. Since the deformed toe joint juts out this can leave the toe prone to calluses, which can cause pain when wearing shoes. To prevent a callus from forming, you can apply a protective pad over the deformed toe joint before putting on shoes.

Of course, if you are dealing with significant or frequent pain, or if the hammertoe is rigid, then you will want to turn to a podiatric specialist. In severe cases, surgery may be recommended to correct the disfigured joint.

]]>Mon, 09 Jul 2018 06:55:43 -0700Heel Pain Treatment Optionshttp://www.instepspecialists.com/blog/post/heel-pain-treatment-options.htmlAre you dealing with heel pain? If so, you aren’t alone. Foot pain, particularly heel pain, is one of the most common complaints and most people will deal with pain at some point during their lifetime. Whether you are on your feet all day for work or you are a runner, there are many risk factors that can play into your likelihood to deal with heel pain. If heel pain is happening to you, you may be wondering what’s causing it and how you can get rid of the pain quickly.

Causes of Heel Pain

As you might imagine, there are many reasons why you might be experiencing heel pain. The root cause will also determine the best course of action for getting your symptoms under control while providing the optimal healing environment for a speedy recovery.

The most common cause of heel pain is an acute inflammatory condition known as plantar fasciitis, in which the thick band of tissue that runs along the soles of the feet from the toes to the heel (known as the plantar fascia) becomes inflamed. Of course, there are other reasons people experience heel pain. Other causes include:

Achilles tendinitis

Achilles tendon rupture

Stress fracture

Arthritis

Tarsal tunnel syndrome

Heel spur

Bursitis

Osteomyelitis (an infection of the bone)

Page’s disease of bone

Peripheral neuropathy

Heel Pain Treatment Options

For more mild-to-moderate cases of heel pain, your podiatrist may recommend simple conservative treatment options that you can incorporate into your daily routine from the comfort of home. This is usually the first course of action, unless the condition is more serious. Only once we’ve exhausted at-home care and pain is still present do we decide on more aggressive tactics for handling your symptoms.

Common at-home heel pain treatment options include:

OTC pain relievers (e.g. ibuprofen)

Icing the heel several times a day

Bracing or splinting the foot

Wearing custom orthotics (shoe inserts)

Wearing protective and supportive shoes

Resting and avoiding certain activities or high-impact exercises

If you’ve tried these treatment options for weeks and still don’t notice any change in your symptoms—or if symptoms get worse—then it’s time to visit your foot doctor again to determine the next step. If pain and swelling are severe we may recommend steroid injections, extracorporeal shockwave therapy (ESWT) or ultrasound therapy. In rare cases, surgery may be necessary to correct the imbalance, deformity, or problem that’s causing your chronic or severe heel pain.

Don’t let heel pain affect your day-to-day life when there are simple and easy solutions to manage your symptoms and promote faster healing. Turn to a podiatrist who will be able to handle your heel pain and get your foot health back on track.

]]>Thu, 14 Jun 2018 09:25:22 -0700Choose the Best Shoes and Socks for Your Child's Developing Feethttp://www.instepspecialists.com/blog/post/choose-the-best-shoes-and-socks-for-your-childs-developing-feet.htmlWhile it might not be something you think about often (or at all), the health of your child’s feet is important. Your child is growing by leaps and bounds and certain habits and other factors can affect how your child’s feet develop or if they experience injuries or other problems down the road. Unfortunately, a lot of children end up wearing shoes that are far too small for their feet, which can lead to pain, structural imbalances and certain foot deformities.

We know that going shoe shopping is certainly not a walk in the park for most parents; however, it’s an important component to making sure your child maintains healthy feet. There are many things to think about when it comes to picking the right shoes, and your podiatrist can also provide suggestions and tips to make the world of shoe shopping easier for you and your little one.

Some factors that you should consider when shopping for the right shoes include:

Your child’s age

The shoe’s material

Your child’s shoe size

The shoe’s structure

A good rule of thumb is to shop for shoes every 2 months when your child is between the ages of 1 and 2 years old. Once they reach three and four, you’ll want to purchase new shoes approximately every four months. At the point that your child is five or six years old, every six months is a good time to swap out old shoes for new ones.

As you might already know, the bones of a baby or infant’s feet are soft and haven’t fully developed. To protect your child’s feet it’s important that they wear socks and soft shoes. Make sure that as your child’s feet grow that the toes have room to wiggle and move around within the shoes. Bunched-up toes are a major no-no!

Since your little one is growing by leaps and bounds it is important that you are constantly checking their shoe size for changes. Remember that feet swell throughout the day, so shoe shopping should be done at the end of the day when feet are at their largest. If you aren’t sure what size shoe your little one wears, you can ask one of the store’s footwear specialists for help.

Of course, you can’t forget the importance of choosing the right socks, as well. Socks can prevent your little one from blisters, calluses and other foot problems. They can also wick away sweat and prevent fungal infections. When it comes to choosing the right socks for your little one consider the type of fabric, your child’s activity level, the size of your child’s feet and sensitivities they might have to certain fabrics.

When in doubt, you should talk to a foot doctor who can provide you with advice, answer any questions you might have about your child’s developing feet and also provide comprehensive care, when needed.

]]>Fri, 01 Jun 2018 11:27:14 -0700Taking Care of Aging Feethttp://www.instepspecialists.com/blog/post/taking-care-of-aging-feet.htmlAs you age, it becomes even more important to take care of yourself, especially your feet. Foot health tends to decline in seniors for many reasons, including:

∙ Years of walking

∙ Improper footwear

∙ Poor circulation

∙ Diseases related to foot problems such as diabetes and gout

∙ Improperly trimming toenails

When problems are ignored, they may worsen and lead to more dangerous issues. There are easy ways to take care of aging feet and nonsurgical treatments to relieve pain.

When to talk to your doctor

It’s important to know when symptoms are just common aches and pains and when they might be something more serious. Even if your pain isn’t related to something serious, you still need to take care of your feet since they are the foundation of the body. Aging foot pains may cause pain in the knees, hips, or back.

Some symptoms to look out for are:

∙ Brittle or discolored toenails

∙ Discoloration or cold/numb feet

∙ Severe pain in feet and ankles

∙ Blisters or cracked skin

∙ Sores and wounds

Tips for maintaining healthy feet

Taking care of feet is simple and will pay off in the long run. Some easy tips for foot health are:

∙ Inspect your feet and nails regularly

∙ Use soap to wash your feet and always thoroughly dry them

∙ Use lotion to prevent dry, itchy, and cracked skin

∙ Wear properly fitted shoes and clean socks

∙ Trim your toenails regularly

∙ Don’t cross your legs

∙ Elevate your feet when seated

Taking care of aging feet is simple, and your dedicated foot doctors are here to help. Foot care is something you shouldn’t avoid, and individuals that aren’t able to take care of their feet are encouraged to see their podiatrist for foot care appointments. If you have any questions about taking care of your aging feet, call our office today to make an appointment!

]]>Mon, 14 May 2018 12:26:50 -0700Are You Dealing With Bunions?http://www.instepspecialists.com/blog/post/are-you-dealing-with-bunions.htmlWhat is a Bunion?

Are you dealing with a bunion? A bunion is a protrusion of the bone at the base of the big toe. While a bunion may seem like a bump, according to the (APMA) American Podiatric Medical Association a bunion is actually the enlargement of the joint at the base of the big toe – the metatarsophalangeal (MTP) joint. While bunions are a common foot disorder, it is not something that you should ignore as bunions can cause discomfort and become inflamed if left untreated.

What Causes Bunions?

Bunions can be hereditary and aggravated by the shoes you wear, especially high heels or shoes that don’t have enough room for your toes. Certain factors can also contribute to the development of bunions, such as if you have flat feet or low arches or if your feet pronate (when the ankles roll in towards each other during movement and cause excessive and prolonged pressure on the joints in the feet). If you are dealing with bunions, or think that you are, it’s important to seek help from a qualified podiatrist to get the care you need to relieve your pain and discomfort.

How a Podiatrist Can Help

Your podiatrist may recommend certain conservative at home steps you can take to minimize the discomfort. The first thing they may recommend is that you look at or change the kind of shoes you wear. It’s important to find shoes that are wide enough to accommodate your toes. Shoes such as high heels are likely to make the problem worse. Bunion pads can also help with your discomfort.

Severe bunion pain can restrict your mobility. Untreated bunions can continue to get worse if you don’t do something about them and can lead to other issues such as calluses and corns, or you may experience pain or redness on the site of the bunion, as well as swelling.

Other treatment options include orthotics or a combination of physical therapy and medication to relieve pressure and inflammation of the bunion. In severe cases, surgery may be needed to resolve the issue.

Prevention is Key

We all like to remain active, and oftentimes it is the result of this activity that can make your bunion pain worse. You should visit your podiatrist if you notice any issues so they can be caught and treated as early as possible. Call our office today.

]]>Tue, 01 May 2018 06:44:14 -0700Corns and Calluseshttp://www.instepspecialists.com/blog/post/corns-and-calluses.htmlCorns and calluses are thick, hardened areas of skin that develop in response to your body's natural defense to repeated pressure or friction. While neither condition presents a long-term or serious health risk, they can be painful, irritating and unattractive.

Identifying a Corn or Callus

Corns and calluses are similar in nature, but differ in size and location. Corns are smaller than calluses and usually have a hard, thickened center surrounded by red, inflamed skin. They typically develop on the tops and sides of your toes and can be painful when touched. Calluses generally develop on your heels and balls of your feet. They vary in size and shape, although almost always larger than corns.

For most people who develop calluses or corns, eliminating the source of pressure is usually enough to make the thickened skin disappear. We recommend the following for treating corns and calluses:

Wear comfortable shoes and socks. When footwear fits properly, there is less opportunity for friction and rubbing to occur.

Soak your feet in warm, soapy water to help remove corns and calluses. Rub the thickened skin with a pumice stone to remove toughened layers more easily.

Keeping your feet moisturized with foot cream or lotion will help improve the quality of your skin and rid your feet from calluses or corns.

When to Seek Care

When corns and calluses don't respond to conservative care, contact our office for a careful evaluation. We can investigate the possible causes of your corn or callus, safely remove the thick, hardened area of skin, and recommend appropriate footwear and treatment, including padding and inserts. Never attempt to cut away a corn or callus on your own, especially if you have diabetes or poor circulation. Instead, seek advice for careful removal and proper care.

]]>Tue, 17 Apr 2018 11:15:52 -0700What Are Bunions?http://www.instepspecialists.com/blog/post/what-are-bunions.htmlA bunion is an abnormal, bony prominence that develops on the joint at the base of your big toe. As the big toe joint becomes enlarged, it forces the toe to crowd against your other toes, and the pressure exerted on your big toe joint results in inflammation and pain. Early treatment is necessary to decrease the risk of developing joint deformities.

Bunions develop due to prolonged abnormal pressure or motion on your big toe joint, most often caused by inherited structural defects, poor-fitting shoes, foot injuries, or congenital deformities. Women are generally more prone to bunions because of the shoe types typically worn, such as high-heels and narrow-toed shoes.

Bunion pain can range from mild to severe, often making it difficult to wear shoes and perform normal activities. You should contact our office if you notice the following symptoms:

An enlarged, visible bulge on your big toe joint

Restricted movement of your big toe or foot that prevents you from performing normal activities

Irritation, corns or calluses caused by the overlap of the first and second toes

Frequent pain, swelling or redness around your big toe joint

Treatment For a Bunion

Treatment for a bunion will vary depending on its severity. Identifying the condition in its early stages is important to avoid surgery, with the main objective of early treatment being to relieve pressure and stop the progression of the deformity. Many times conservative treatments, such as padding, modified footwear or orthotic devices can be highly effective for preventing further growth and reducing the pressure and pain.

We recommend the following for reducing pressure and pain caused by bunions:

Our podiatrists can show you how to apply padding to your foot to place it in its normal position and reduce stress on the bunion

When early treatments fail or the persistent pain associated with your bunion is interfering with your daily activities, a surgical procedure may be recommended as a last resort to realign the toe joint and alleviate the pressure. We can advise you on the best treatment options available to relieve pressure on the bunion and slow the progression of the joint deformity.

]]>Mon, 02 Apr 2018 09:53:56 -0700Bone Spurshttp://www.instepspecialists.com/blog/post/bone-spurs.htmlBone spurs, also known as osteophytes, can occur anywhere in the skeletal system, and the feet are no exception. Bone spurs are simply overgrowths of bone, which most commonly form where two bones come together. Normally bone spurs in the feet are painless, but when exposed to pressure, they can cause the excess bone to rub against other nerve endings or soft tissues, resulting in pain.

Causes of Bone Spurs in the Feet

When your feet are repeatedly exposed to excessive pressure and stress, a bone spur can form as a result of the body's normal response to repair itself. The following activities and conditions are common causes:

High-impact activities, such as running

Excessive weight

Poor-fitting footwear

Tightening of the plantar fasciitis due to excessive stress

Aging

Because there are no obvious symptoms associated with bone spurs in the feet, diagnosing the disorder can be difficult. Some people experience unbearable pain in particular areas of their foot when exposed to pressure, which prompts them to seek medical care. Other people can go long periods of time without realizing they even have a bone spur. An x-ray can identify a bone spur in your foot, but if it isn't causing you pain, damaging other tissues or restricting your movement, treatment probably won't be necessary.

Identifying the cause of your bone spur, such as poor-fitting shoes or weight gain, is often times enough to reduce the pressure that is causing the pain.

Conservative treatments for bone spurs include:

Change in footwear

Weight loss

Padding or insoles

Deep tissue massage and stretching

If you're experiencing chronic foot pain, schedule an appointment at our office. We'll carefully examine your feet and evaluate your symptoms to better understand your condition. If you've developed a bone spur, we can work with you to create a treatment plan that best fits your needs and puts an end to your frustrating foot pain.

]]>Fri, 16 Mar 2018 11:43:48 -0700Athlete's Foothttp://www.instepspecialists.com/blog/post/athletes-foot.htmlAthlete's foot is one of the most common fungal infections of the skin and is frequently seen in our office. Whether you've had it or not, it's important to understand how you can avoid and treat this highly contagious infection if you do contract it.

The fungus that causes athlete's foot thrives in damp, moist environments and often grows in warm, humid climates, such as locker rooms, showers and public pools; hence the name "athlete's foot. " This infection can itch and burn causing the skin on your feet and between your toes to crack and peel.

Tips For avoiding Athlete's Foot:

Keep your feet dry, allowing them to air out as much as possible

Wear socks that draw moisture away from your feet and change them frequently if you perspire heavily

Wear light, well-ventilated shoes

Alternate pairs of shoes, allowing time for your shoes to dry each day

Always wear waterproof shoes in public areas, such as pools, locker rooms, or communal showers

Never borrow shoes due to the risk of spreading a fungal infection

Treatment

A mild case of athlete's foot will generally clear up on its own with over-the-counter antifungal creams and sprays. But since re-infection is common due to its contagious nature, many people require prescribed anti-fungal medication to effectively treat the infection. Generally, it's always best to consult with your podiatrist before choosing a treatment.

Mild cases of athlete's foot can turn severe and even cause a serious bacterial infection. If you notice your rash has become increasingly red, swollen and painful or you develop blisters and sores, call our office right away. Athlete's foot left untreated could eventually spread to other body parts and infect other people around you.

With the right treatment, you'll be cured of your athlete's foot in no time, which means the sooner you can enjoy the activities you love without pain and irritation!